MR. MATTHEW DAVID BLACK (NPI# 1639718745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639718745 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW DAVID BLACK |
| Credential | H.I.S. |
| Practice Address |
3656 Washington Pkwy Idaho Falls ID 83404-7573 |
| Practice Telephone | 2085294969 |
| Mailing Telephone | 2085294969 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HA3634 | ID | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366922247 | Matthew L Black | Dietitian, Registered | 410 W 10th Ave, W180 Doan Hall, Columbus, OH 43210 | 2018-08-20 |
| 1124512447 | Matthew Black | Optometrist | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2018-06-20 |
| 1821509415 | Matthew David Black | Counselor | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2017-10-23 |
| 1518313824 | Matthew Black | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2016-05-05 |
| 1891173282 | Matthew Kimball Black | Dentist | 512 N Young St, Kennewick, WA 99336-7839 | 2015-05-18 |
| 1275923955 | Matthew Black | Pharmacy Technician | 45155 First Colony Way, Attn Pharmacy, California, MD 20619-2416 | 2015-02-02 |
| 1891010567 | Matthew Crittenden Black | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Lothrop St., C800, Pittsburgh, PA 15213 | 2010-04-06 |
| 1437339900 | Matthew Roger Black | Emergency Medicine | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2007-11-13 |
| 1679769947 | Matthew John Black | Physical Therapist | 4004 S Yale Ave, Tulsa, OK 74135-6017 | 2007-09-20 |
| 1346395175 | Matthew A. Black | Counselor | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2007-01-24 |
| Street Address |
3656 WASHINGTON PKWY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932368222 | Elison Dental Center | Dentist | 3656 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568977296 | Daren Richard Davis | Hearing Instrument Specialist | 107 W 17th St, Idaho Falls, ID 83402-4223 | 2017-12-04 |
| 1093066839 | Williams Hearing, Inc. | Hearing Instrument Specialist | 3200 Channing Way Ste A101, Idaho Falls, ID 83404-7561 | 2012-09-19 |
| 1285978254 | James T Williams | Hearing Instrument Specialist | 3200 Channing Way Ste A101, Idaho Falls, ID 83404-7561 | 2012-11-15 |
| 1396045050 | Nathan Horlacher | Hearing Instrument Specialist | 211 S Woodruff Ave, Ste 3, Idaho Falls, ID 83401-4369 | 2010-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253233 | Miller Organization LLC | Hearing Instrument Specialist | 7974 W Fairview Ave, Boise, ID 83704-8421 | 2020-10-22 |
| 1043827603 | Kellee Newman | Hearing Instrument Specialist | 5513 N Glenwood St Ste B, Boise, ID 83714-1332 | 2020-09-28 |
| 1861005191 | Aaron Gabrielsen | Hearing Instrument Specialist | 2635 Caldwell Blvd Ste 102, Nampa, ID 83651-6407 | 2020-08-26 |
| 1578191615 | Alderson Audiology LLC | Hearing Instrument Specialist | 943 W Overland Rd # 116, Meridian, ID 83642-6541 | 2020-04-01 |
| 1740817378 | Patrick Brown | Hearing Instrument Specialist | 1740 N Milwaukee St Ste A, Boise, ID 83704-7107 | 2020-03-24 |
| 1992332688 | Khayman Stauffer | Hearing Instrument Specialist | 4696 W Overland Rd Ste 216, Boise, ID 83705-2864 | 2020-03-24 |
| 1649819756 | Kevin Horne | Hearing Instrument Specialist | 750 S Progress Ave, Meridian, ID 83642-4821 | 2020-01-06 |
| 1366009771 | Arleta Holmes | Hearing Instrument Specialist | 3911 N Schreiber Way, Coeur D Alene, ID 83815-8395 | 2019-05-21 |
| 1235603630 | Nathan Scott West | Hearing Instrument Specialist | 3330 N Meridian Rd, Meridian, ID 83646-6065 | 2019-01-18 |
| 1225525819 | Jamie Stone | Hearing Instrument Specialist | 1534 Overland Ave, Burley, ID 83318-1850 | 2018-04-18 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.